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General NPI Number Information
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NPI Number | 1972279941
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Entity Type | Individual
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Provider Name | CHRISTINA TORRES COTA
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 3005 S CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-9045
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Country | US
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Telephone | 561-317-8902
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Fax |
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Provider Business Mailing Address
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Address Line | 2166 NW 37TH AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2214
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Country | US
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Telephone | 954-245-6027
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA16301
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License Number State | FL
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